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Commercial Medical Policy Update for October 16, 2024

Medical GuidelinesReason for Update
Children’s Mobility and Positioning Equipment (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 9/2024. Medical Director review 9/2024.

Chiropractic Services (PDF)

Added Reimbursement policy titled “Overuse” to Related Policies section. References updated. Specialty Matched Consultant Advisory Panel 9/2024. Medical Director review 9/2024.

Dermatologic Applications of Photodynamic Therapy (PDF)

Related policies added. References updated. Updated “patient” to “individual” throughout policy. Specialty Matched Consultant Advisory Panel review 9/2024. Medical Director review 9/2024. No change to policy statement.

Dry Needling of Myofascial Trigger Points (PDF)

Minor edits to the Description section. Policy Guidelines and References updated. Specialty Matched Consultant Advisory Panel review 09/2024. Medical Director review. 09/2024.

Durable Medical Equipment (DME) (PDF)

Minor edits to Description section. Added Speech Generating Devices to Related Policies section. When Covered and Not Covered sections edited for clarity, no change to policy statement. References updated. Specialty Matched Consultant Advisory Panel 9/2024. Medical Director review 9/2024. 

Functional Capacity Assessment and Work Hardening (PDF)

Minor edit to the Description section. References updated. Specialty Matched Consultant Advisory Panel 9/2024. Medical Director review 9/2024.

Non-Pharmacologic Treatment of Rosacea (PDF)

Regulatory status and references updated. Updated “patient” to “individual” throughout the policy. Specialty Matched Consultant Advisory Panel review 9/2024. No change to policy statement. Medical Director review 9/2024.

Oscillatory Devices for the Treatment of Respiratory Conditions (PDF)

Updated when not covered section for clarity and consistency with when covered section.

Patient Lifts (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 9/2024. Medical Director review 9/2024. 

Pressure Reducing Support Surfaces (PDF)

When Covered and Not Covered sections edited for clarity, no change to policy statement. References updated. Specialty Matched Consultant Advisory Panel 9/2024. Medical Director review 9/2024.

Rehabilitative Therapies (PDF)

Minor edits made to the Description section. When Covered and Not Covered sections edited for clarity, no change to policy statement, References updated. Specialty Matched Consultant Advisory Panel review 9/2024. Medical Director review 9/2024.

Speech Generating Devices (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 9/2024. Medical Director review 9/2024.

Wheelchairs (Manual and Power Operated) (PDF)

Description section updated to include description of push-rim devices. When Covered and Not Covered sections updated to include criteria for push-rim devices. References updated.  Specialty Matched Consultant Advisory Panel 9/2024. Medical Director review 9/2024.